| NPI | 1346733367 |
|---|---|
| Doing Business As | PACIFIC COAST PEDIATRIC SURGERY, A PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | PHILIP KENT FRYKMAN President 310-429-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A87814) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2019-03-26 |